| NPI | 1275021883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063753) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-08-26 |